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Updated: Jun 11, 2025

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Exploring Antibiotic Use in the Community: A Household-Based Survey Using the Drug Bag Method in Rural Burkina Faso.

Adélaïde Compaoré1,2,3, Toussaint Rouamba1,4, Bérenger Kaboré1

  • 1Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, 11 BP 218 Ouaga CMS 11, Nanoro, Burkina Faso.

Antibiotics (Basel, Switzerland)
|September 28, 2024
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Summary

Antibiotic awareness is low in Burkina Faso, with amoxicillin and oxytetracycline commonly used for various ailments, including pain. Access is often through healthcare facilities and informal sellers, raising concerns about inappropriate antibiotic use.

Keywords:
Burkina FasoNanoroantibiotic usecommunitydrug bag methodrural

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Area of Science:

  • Pharmacology
  • Public Health
  • Infectious Diseases

Background:

  • Limited awareness of appropriate antibiotic use exists at the community level in Burkina Faso.
  • Understanding community antibiotic practices is crucial for antimicrobial stewardship.

Purpose of the Study:

  • To identify commonly used antibiotics and their indications in rural Burkina Faso.
  • To investigate community access to antibiotics and associated risks.

Main Methods:

  • The drug bag method was utilized to survey 423 households in Nanoro health district.
  • Descriptive analyses were conducted using R software (version 4.2.1).

Main Results:

  • Amoxicillin and oxytetracycline were the most recognized and frequently used antibiotics.
  • Antibiotics were used for diverse health issues, sometimes inappropriately as painkillers.
  • Primary healthcare facilities supplied most drugs, but informal sellers also provided significant access (61.5%).
  • Concerningly, "Watch" list antibiotics like norfloxacin were available from informal sources, despite not being on the national essential medicines list.

Conclusions:

  • Formal healthcare providers play a role in the inappropriate use of antibiotics.
  • Understanding community access and reasoning behind antibiotic use is vital for intervention strategies.
  • Interventions are needed to address the availability of "Watch" antibiotics through informal channels and improve community awareness.